This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SI-28 (BWC-7228)?
A: Form SI-28 (BWC-7228) is a document used for filing an allegation against a self-insured employer in Ohio.
Q: Who can use Form SI-28 (BWC-7228)?
A: Any individual who has a complaint or allegation against a self-insured employer in Ohio can use Form SI-28 (BWC-7228).
Q: What is the purpose of filing an allegation against a self-insured employer?
A: The purpose of filing an allegation against a self-insured employer is to bring attention to any issues or concerns regarding the employer's compliance with workers' compensation laws in Ohio.
Q: How do I file an allegation against a self-insured employer?
A: To file an allegation against a self-insured employer, you need to complete Form SI-28 (BWC-7228) and submit it to the Ohio Bureau of Workers' Compensation.
Q: What information is required on Form SI-28 (BWC-7228)?
A: Form SI-28 (BWC-7228) requires information such as the employee's personal details, employer's information, details of the allegation, and any supporting documentation.
Q: Is there a deadline for filing an allegation against a self-insured employer?
A: Yes, there is a deadline for filing an allegation against a self-insured employer. The specific deadline can vary, so it is important to check with the Ohio Bureau of Workers' Compensation for the most up-to-date information.
Q: What happens after I file an allegation against a self-insured employer?
A: After you file an allegation against a self-insured employer, the Ohio Bureau of Workers' Compensation will review the complaint and may conduct an investigation if necessary.
Q: Is there any cost associated with filing an allegation against a self-insured employer?
A: No, there is no cost associated with filing an allegation against a self-insured employer in Ohio.
Q: Can I file an allegation anonymously?
A: Yes, you have the option to file an allegation against a self-insured employer anonymously in Ohio. However, providing your contact information may assist in the investigation process.
Form Details:
Download a printable version of Form SI-28 (BWC-7228) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.